| NPI | 1841089463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15343300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 758316) |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-09-08 |